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Law Commission to consult on new adult social care law

February 25th, 2010

The complex mess of nearly 40 pieces of legislation governing the care and support of older and disabled people is to be brought up to date and simplified into a single Act according to proposals from the Law Commission, the government’s advisory body on legislative reform.

The proposals will be open for consultation until the end of June. Aspect will be responjding and as various campaign groups for the elderly immediately pointed out, the new legislation will have to ensure it covers the issues raised by personalisation.

Full details can be found at http://www.lawcom.gov.uk/1331.htm

There is a good background article at http://www.guardian.co.uk/society/2010/feb/24/social-care-law-reform

Aspect will be responding. If you have views please let us know at socialcare@aspect.org.uk

CQC report ducks cuts impact

February 21st, 2010

The Care Quality Commission’s first annual report on the state of health and adult social care in England is an invaluable source of information. The report can be downloaded at:

http://www.cqc.org.uk/_db/_documents/CQC_Complete_2009_18.pdf

It claims that the proportion of health and social care services, such as residential care and home care, rated good or excellent rose from 69% in 2008 to 77% in 2009 and that only 2% of adult social care services were rated as poor last year.

The CQC reports slow albeit significant progress in shifting the balance from residential care to home care: in 2009 2.1% of people aged 65 and over were publicly-funded residents in care homes, down from 2.5% five years ago. Last year 148,000 people were able to access preventive services, up from 80,000 in 2005.

The report emphasises the challenges facing services as the number of adults needing care and support almost doubles over the next two decades, amounting to 1.7 million more adults who need support just at the time when public finances are stretched almost to breaking point.

The most remarkable thing about the report is its failure to challenge the increasing levels at which local authorities now set eligibility thresholds with 72% setting them at critical or substantial, with two results. Firstly many people with desperate needs cannot access services at all,  whilst, of course, the delays in accessing services means preventative work is being cut still further.

Bizarrely, despite the CQC admitting that “as the population ages and financial pressures grow, we expect that access to publicly-funded care will become further restricted,” the CQC claims that nevertheless excellent-rated councils will provide good information to everyone – for example signposting them to voluntary sector services. Yet the latter are under immense budgetary pressures themselves facing cuts in numerous councils.

With jobs at risk in many councils, next year’s CQC annual report should make dismal reading.

Almost as shameful in Windsor

February 10th, 2010

The Royal Borough of Windsor and Maidenhead is trying to outdo Birmingham with its  adult social services cuts. It’s even been singled out for praise by the Taxpayers Alliance.

In November 2009, £569,000 worth of cuts in adult social care were added to the £993,000 already agreed in October – a cut of £1.5m .

All of this means that  continuing adult social care and services for those with learning difficulties will be badly hit  with a  day centre closing. Three posts will go from The learning disability service will lose posts, as will homecare management and adult social care assessment.

This is a council where one quarter (12 out of 50) social worker posts were vacant before Xmas, posts that were covered by agency social workers who cost about £20,000 more than directly employed staff each year.

Read about it (complete with pathetic photo pose) at http://www.telegraph.co.uk/news/newstopics/politics/7036554/Windsor-and-Maidenhead-council-makes-history-with-biggest-ever-cut-in-council-tax.html

Shameless from Birmingham

February 10th, 2010

Birmingham City Council is slashing services in the name of what it calls “efficiency savings”  cutting between 1,500 and 2,000 jobs on top of 800 that went last year.

There are also plans for a pay freeze for 25,000 council workers.

More job cuts are likely over the next five or six years as public spending cuts begin to bite.

The council claims that “most of the money saved will be ploughed back to meet demand for social services”

In fact many of the jobs at risk are in adult social services, although, allegedly, “front line social workers are being protected”.

Quite how front line services will be protected if the staff who provide IT, admin, and other support, lose their jobs is unclear.

Moreover, the council will continue to close the city’s remaining council-run old people’s homes and day centres to  save £6 million, directly harming those who use them. On top of this a “management shake-up in social services”  is claimed to producce £5 million.

It beggars belief that Birmingham council, having admitted last autumn that it had run its childrens social services into the ground, is now going to slash services for the elderly – as well as cutting posts in childrens services.

Chief executive Steven Hughes says “Birmingham is demonstrating how frontline services and significant regeneration schemes can be delivered without punishing taxpayers. I am proud that we are able to do this.”

Call me old fashioned but I thought pensioners who used (or would like to use) social services were also taxpayers

Mr Hughes said everything possible would be done to avoid compulsory redundancies, but he could not rule out the likelihood of sackings

That means expecting the staff left behind to do some (and possibly much) of the work their redundant colleagues used to do.

These proposals endanger the duty of care the council and its staff have to local citizens, and the duty of care the council has to its staff.

Shameless and shameful.

http://www.sundaymercury.net/news/midlands-news/2010/02/10/birmingham-city-council-to-axe-up-to-2-000-jobs-as-spending-is-cut-by-75m-65233-25806868/

Roger Kline

Bring back assertiveness!

February 9th, 2010

An excellent blog on the need for assertiveness by social workers (and in particular by Approved Mental Health Professionals has just appeared on Community Care’s web site. Clare Bareham asks why social workers dont ask “why” as much as they should, or perhaps used to.

It’s a thoughtful piece that is well worth reading at:

http://www.communitycare.co.uk/blogs/social-work-front-line-focus/2010/02/were-a-challenge-of-social-worker-and-we-demand-respect.html

Policeman’s scapegoating mirrors that of Haringey social worker

February 4th, 2010

I am not usually a fan of the Daily Mail but Eileen Fairweather has written a brilliant story every social worker should read.

It has direct relevance for social workers because the scapegoating of  Detective Chief Inspector Philip Wheeler parallels that of social worker Lisa Arthurworrey.

In January 10th 2002,  Detective Chief Inspector Philip Wheeler had just started giving evidence to Lord Laming’s inquiry into the murder of Victoria Climbie whenhe was physically attcked and went off sick.

Eileen Fairweather writes

“Wheeler had been based at North West London Police Murder Squad at the time of the eight-year-old’s death in 2000. He had been describing to the inquiry a report he wrote warning his superiors that child protection locally was not being properly supervised.

“Wheeler was signed off work. During his enforced break from giving evidence to the inquiry, colleagues made him the scapegoat for police failings. He says he was ‘framed’ when, in fact, he was the officer who rang alarm bells.

“It is only now, ten years later – his health and career ruined – that he has been able to clear his name.”

http://www.dailymail.co.uk/news/worldnews/article-1247294/Met-officer-scapegoated-Victoria-Climbie-inquiry-finally-clears-name.html#ixzz0eZBwKJBy

Roger Kline says

“The parallels with Lisa Arthurworrey are all to clear to those who have followed her case. Both cases should shame those who have colluded with the disagraceful treatment of colleagues to the detriment of the public interest”.

More on Lisa’s case in the near future

Spending cuts will increase fraud, say experts

February 4th, 2010

Cases of public sector fraud and data manipulation are set to increase over the coming months as government spending cuts put more pressure on managers to meet performance targets, experts have warned.

Ian Elliott, who leads the government and public sector forensic services practice at PricewaterhouseCoopers, told Public Finance that data manipulation was on the rise in public sector organisations in the face of tighter budgets, particularly among NHS trusts striving to meet waiting list targets.

His practice was experiencing a 50% increase in investigations compared with this time last year, with many cases larger in size too .

More at:

http://www.publicfinance.co.uk/news/2009/10/spending-cuts-will-increase-fraud-say-experts/

And again, social workers do make a difference

February 4th, 2010

New research suggests the number of violent deaths among children in England and Wales has fallen by almost 40% since 1974.

A Bournemouth University study says the death rate is the fourth lowest in the Western world.

It says better monitoring by social workers and improved liaison between health visitors, paediatricians, GPs and police had led to the drop.

The BBC news report can be f ound at http://news.bbc.co.uk/1/hi/uk/8497277.stm

Social Work Reform Board good. Cuts bad.

January 22nd, 2010

The most valuable resource that councils have is their staff. This was recognised by the Laming report and the Task Force report contained a number of good recommendations which if implemented would make a real difference.

The Social Work Reform Board which met for the first time this week had a constructive first meeting at which Aspect was represented by Roger Kline.

Three elephants crowded into the room. the first was the uncertainty caused by the imminent General election. The second one was the view that local councils should not be bound by prescriptive national standards. And the third was the financial pressures on local authorities.

Politicians have been been claiming that front line  services will be protected and it will be “less essential” “back room” services that will be affected but as Birmingham childrens services staff found out last week this rings a little hollow when hundreds of front line jobs are threatened.

In explaining the miserable decision to offer O% in a week when inflation rose sharply and when staff are facing increases in pensions and national insurance contributions, Local Government Employers managing director Jan Parkinson said: “The decision not to offer employees an increase in basic pay this year has not been taken lightly.

“Councils are facing a perfect storm of falling revenues and increasing demand for services. Up and down the country, councils have already been forced to cut thousands of jobs to balance the books. Town halls have been swept by the cold winds of recession for more than a year and that means difficult choices have to be made.”

Much is made of  the distinction between “front line” staff and others when cuts are discussed. This is often meaningless.  Are administrative support staff working with social workers not essential if the administrative burden on social workers is to be reduced? Are IT staff not essential if front line staff are not going to waste even more time due to a combintion of inappropriate IT systems and poor equipment?

Social services have bizarrely been excluded from the protection offered to education and health services. The consequences threaten to be dire, not just for staff who will be expected to do more for less, but for services.

We await with interest the government’s Task Force report Implementation Plan which will seek to square this circle

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